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Organization
INNOVATIVE FOOT AND ANKLE, P.A.
Active
Organization
INNOVATIVE FOOT AND ANKLE, P.A.
Active
Other names
Innovative Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN L. KAUFMAN DPM (OWNER/PROVIDER)
(908) 276-6624
Entity
Organization
Contact information
Practice address
119 GROVE ST, MONTCLAIR, NJ 07042-4044
(973) 783-5101
Mailing address
528 BOULEVARD, KENILWORTH, NJ 07033-1657
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/18/2017
Last updated
09/11/2023
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